Provider, Physician, or Other Supplier Protests Its Liability

90.2 - Provider, Physician, or Other Supplier Protests Its Liability (Rev. 12946, Issued:11-08-24; Effective: 12-10-24; Implementation:12-10-24) A provider, physician, or other suppliers reply to a notification that the provider, physician, or other supplier is liable for an overpayment may indicate dissatisfaction with some aspect of the overpayment decision. Such a protest shall be considered a request for an appeal. In most instances, this will be a redetermination which is the first level of appeal for an overpayment determination. However, if the overpayment is identified during the course of the redetermination, the Contractor shall consider the provider, physician, or other suppliers protest as a request for reconsideration (second level of appeal) by the Qualified Independent Contractor (QIC). In conducting the appeal, the Contractor shall consider whether: a. There was an overpayment. b. Was the amount of the overpayment calculated correctly; and whether, c. The provider, physician, or other supplier is liable for repayment.